| Doctor Name: | MRS. MARIA VIRGINIA JORDAN |
| NPI Number: | 1588636591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 68339 |
| Business Practice Address: | 19021 Us Highway 285 La Jara, CO - 811409427 |
| Business Phone Number: | 7192746000 |
| Business Fax Number: | 7192746038 |
| Mailing Address: | 14499 County Road U, LA JARA |
| State: | CO |
| Postal Code: | 811409594 |
| Phone Number: | 7192745300 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2006 |
| NPI Last Update Date: | 08/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 68339 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |